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1619648656
ALEXANDRA M SPAIN
ROCKFORD, IL
NPI
1619648656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178.015824)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
ALEXANDRA M SPAIN LPC
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585
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Mailing Address
ALEXANDRA M SPAIN LPC
631 N LONGWOOD ST STE 103
ROCKFORD, IL 61107-4263
Phone number: 815-962-5585
Copy
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